Larry Wedekind writes: The treatment of choice, almost everywhere, is called Medication Assisted Treatment (M.A.T.) and it involves substitute drugs. It has an 80% failure rate. There is a treatment that involves microcurrent neurofeedback and a recovery support team. It costs one-fifth as much and has a high probability of success. What the Trump administration can do: create CPT (payment) codes for this new method of treatment. What Congress can do: reform the Obamacare exchanges. More.
Do you have a mortgage on your house? And instead of paying off the mortgage are you investing money elsewhere? If so, then you are borrowing (from a mortgage company) at one rate and using the funds to invest at a lower rate – after adjustment for risk. Larry Kotlikoff says it makes more sense to pay off the mortgage – especially under the new tax law. More.
Uncle Sam’s fiscal gap (promises minus expected revenues, looking indefinitely into the future) is now $239 trillion. That’s ten times the size of our Gross Domestic Product. Eliminating our current fiscal gap requires either a 50 percent immediate and permanent hike in all federal taxes or a 33 percent immediate and permanent cut in all federal outlays, apart from debt service. The longer we wait, the more painful the solution gets. More.
Surprise medical bills arise when hospital patients discover that certain fees are not covered by their health insurance. The reason for the surprise is that the patient’s insurance company and the hospital itself list the hospital as “in network.” Then, when the bill is presented, the patient discovers that certain doctors or certain services were “out of network.” As I wrote previously, in a free health insurance market this would rarely happen. Do you know of any other insurance market where this is a problem? I don’t. More.
Writing in the Wall Street Journal, Goodman Institute Senior Fellows David Henderson and Charles Hooper say unwise federal policies are causing drug prices to be unnaturally low. This is causing shortages, low quality and unreliability of supply. Currently, as many as 260 drugs are unavailable or in short supply in the U.S. shortages are blamed for some patient deaths. More.
Nearly 150 House Republicans have signed on to a health plan that matches very closely the Goodman Institute plan developed for Donald Trump. It includes personal and portable health insurance, 24/7 access to a personal doctor, telemedical care in the patient’s own home, flexible Health Savings Accounts and a real market for the chronically ill. More.
Elizabeth Warren economic advisers say the rich pay the lowest tax rates of all. Laurence Kotlikoff says they are wrong. Using the most sophisticated tools available to economists, Kotlikoff finds that among 40-year-olds, the top 1% face a lifetime average net tax rate of 34.5 percent. Yet when positive and negative taxes (benefits) are included, the poorest fifth are facing a rate of – 46.6 percent. For every dollar people in the bottom fifth earn, they get 46.6 cents back from the government. More.
Over the past 13 years, Mrs. Jimmy Rogers and her husband have, been deprived of tens of thousands of dollars in Social Security disability and spousal benefits, thanks to Social Security’s acknowledged mistakes. Jimmy has been forced to pay extra Social Security payroll taxes and extra federal income taxes she didn’t owe. And the government is still, to this day, sending them a bill for over $120,000 for disability and spousal benefits that they rightfully received. More.
Find a health care sector where there is no Medicare, no Blue Cross and no employer and it is probably a market that works very well. Lasik surgery is one example. Patients get a package price and they know what they are going to pay in advance. Competition works. Over the past decade, the real price of Lasik surgery fell 25%. A similar story can be told about cosmetic surgery. More.
The Liberty, Ecology and Prosperity blog is about appreciating and protecting the environment, using the tools of economics. The blog manager is Jane Shaw Stroup, a former senior fellow of the Property and Environment Research Center (PERC). John Baden, father of the New Resource Economics, is the lead off blogger.